MEDICARE: DR. CATHARINE J TABB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	42588	OH
2	207Q00000X	Family Medicine Physician	42588	OH

General Provider Information

NPI Number	:	1184600652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHARINE J TABB MD

Provider Business Mailing Address
First Line	:	7325 SARATOGA HILLS DR NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44721-2724
Country	:	US
Telephone Number	:	330-388-9428
Fax Number	:

Provider Business Practice Location Address
First Line	:	7325 SARATOGA HILLS DR NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44721-2724
Country	:	US
Telephone Number	:	330-388-9428
Fax Number	:	330-388-9428

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	11/03/2023

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